AT HOME MEDICAL SUPPLY OF TN LLC; NPI #1649276270

Contact Information

AT HOME MEDICAL SUPPLY OF TN LLC

86 E NORTHSTAR DR
SUITE E
JACKSON, TN 38305

Phone: 731-512-1895
Fax: 731-512-1896
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for AT HOME MEDICAL SUPPLY OF TN LLC

NPI Number 1649276270

LBN Legal business name AT HOME MEDICAL SUPPLY OF TN LLC

Authorized official MARSHA MCNAIR - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/28/2005

Last updated 11/09/2007 - About 19 years ago

Identifiers

TN	License #	0000000824
TN	Medicaid	1452412
TN	Medicaid	4080747
TN	Other	4080747	BLUE CROSS & BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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